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Idaho rates for HCPCS 67225

Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.75 / $59.75 / $63.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.23 / $35.35 / $49.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.14 / $46.43 / $53.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $51.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.91 / $53.99 / $57.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.24 / $41.16 / $62.91